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SIGNATURE AUTHORIZATION FORM <br />WASHI NGTON STATE MI LITARY DEPARTMENT <br />CAMP MURRAY, WASHINGTON 98430-5122 <br />NEW FORM WILL REPLACE PREVIOUS FORMS <br />NAME OF ORGANIZATION <br />KITTITAS COUNTY <br />DATE SUBMITTED <br />PROJECT DESCRIPTION <br />FY22-23 SECO Equipment Contract <br />CONTRACT NUMBER <br />E22-304 <br />1. AUTHORIZINGAUTI.IORITY <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Laura Osiadacz <br />Chair, Board of County <br />Com m ission ers, 1 I 1 121 -12131 124 <br />Cory Wright <br />Vice Chair, Board of County <br />Commission ers I I 1 121 -12131 124 <br />2. AUTHORIZED TO STG'V CONTRACTS/CONTRACT AMENDMENTS <br />SIGNATURE PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Laura Osiadacz <br />Chair, Board of County <br />Commission ers, I I 1 121 -12131 124 <br />Co ht <br />Vice Chair, Board of County <br />Com m ission ers 1 I 1 121 -12131 124 <br />SIGNATURE it PRINT OR TYPE NAME TITLE/TERM OF OFFICE <br />Georqe Lonq E911 Coordinator <br />Brian Carlson Budqet & Finance Director <br />Please complete form with any new contract or any time personnel changes. <br />Submit one original to State E911 Office